Individual
MRS. ASHLEY RENEE ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 E ORANGEBURG AVE STE 330, MODESTO, CA 95355-3396
(209) 724-6000
Mailing address
W233N8317 SEVEN IRON CIR, SUSSEX, WI 53089-1560
(414) 779-6757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
222614-30
WI
363LF0000X
Family Nurse Practitioner
Primary
95033443
CA
Other
Enumeration date
09/24/2020
Last updated
01/09/2025
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